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IRCT20240711062391N2 IRCT 2026-02-16 Arak University of Medical Sciences Effect of family-centered distance Nurse-led health literacy training on symptom burden and readmission of patients with ischemic heart disease after discharge Effect of family-centered distance Nurse-led health literacy training on symptom burden and readmission of patients with ischemic heart disease after discharge 2026-02-20 anticipated 112 Complete https://irct.ir/trial/88861 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: The present study will be a two-group before-and-after clinical trial study. The research units will be selected conveniently and randomly assigned to the intervention and control groups using the alternating block randomization technique. Blocks of 4 with 6 conditions will be used. The letter A will indicate the participant in the intervention group and the letter B will indicate the participant in the control group. The samples in the two intervention and control groups will be assigned to the intervention and control groups based on the sequence of entry and according to the block pattern that is randomly selected from the blocks. N/A Health Literacy, Symptom Burden, Readmission. Intervention 1: Intervention group: During the study, caregivers in the intervention group will receive routine caregiving training provided in the intensive care unit. In addition, caregivers in the intervention group will receive health literacy training in the field of ischemic heart disease in the form of a written program led remotely by a nurse. This program will include educational sessions on improving health literacy in the field of ischemic heart disease, which will be presented via the sky room platform in the form of lectures and questions and answers during 6 sessions. One session will be held each week for 45-60 minutes, which will include discussions and strategies related to improving health literacy in the field of previous ischemic disease and how to manage treatment and care. During the 6 weeks of the intervention, telephone text messages will be sent once a week to the research units to ensure that the desired intervention is received.In an educational channel, an educational message on the topics presented will be sent three times a week at a specific time on an internal platform that includes members of the research team and research units. Data collection will be carried out before and 3 months after the start of the intervention using a demographic data checklist, an adult health literacy questionnaire, the Edmonton symptom scale, and a patient readmission survey through contact with the caregiver. In order to facilitate data collection in the post-intervention phase through the press line, questionnaires will be designed and provided to participants for completion. Intervention 2: Control group: During the study, caregivers in the control group will receive routine caregiving training provided in the intensive care unit. Data collection will be conducted before and 3 months after the intervention using a demographic data checklist, the Adult Health Literacy Assessment Questionnaire, the Edmonton Symptom Scale, and a patient readmission survey by contacting the caregiver. In order to facilitate data collection in the post-intervention phase through the Pressline, questionnaires will be designed and provided to participants for completion. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information.
public Erfan Mohammadi
Shahamat 2 Alley, Shahamat St., Moshaver Town, Arak, IRAN
Arak Iran (Islamic Republic of) 3818887174 +98 86 3368 8149 erfanmohammadiuniversity@gmail.com Arak University of Medical Sciences scientific Behzad Hamedani
Sardasht, Basij Square, Prophet Muhammad (PBUH) University Complex, Blue Wing Nursing School, 3rd floor, Units 227 and 400
Arak Iran (Islamic Republic of) 3848176941 +98 86 3383 8227 b.hamedani@arakmu.ac.ir Arak University of Medical Sciences Iran (Islamic Republic of) Being literate Having a mobile phone and the ability to use social networks and smartphones Diagnosis of ischemic heart disease by a specialist physician and recording in the patient's file The caregiver of the research participant should be the patient's primary caregiver At least 6 months have passed since the diagnosis of the disease no limit no limit Both Absence of cognitive and psychological problems in the patient's caregiver with questioning Caregiver's lack of participation in other similar educational programs and self-care methods in the past 6 months Prevention Prevention Intervention group: During the study, caregivers in the intervention group will receive routine caregiving training provided in the intensive care unit. In addition, caregivers in the intervention group will receive health literacy training in the field of ischemic heart disease in the form of a written program led remotely by a nurse. This program will include educational sessions on improving health literacy in the field of ischemic heart disease, which will be presented via the sky room platform in the form of lectures and questions and answers during 6 sessions. One session will be held each week for 45-60 minutes, which will include discussions and strategies related to improving health literacy in the field of previous ischemic disease and how to manage treatment and care. During the 6 weeks of the intervention, telephone text messages will be sent once a week to the research units to ensure that the desired intervention is received.In an educational channel, an educational message on the topics presented will be sent three times a week at a specific time on an internal platform that includes members of the research team and research units. Data collection will be carried out before and 3 months after the start of the intervention using a demographic data checklist, an adult health literacy questionnaire, the Edmonton symptom scale, and a patient readmission survey through contact with the caregiver. In order to facilitate data collection in the post-intervention phase through the press line, questionnaires will be designed and provided to participants for completion. Control group: During the study, caregivers in the control group will receive routine caregiving training provided in the intensive care unit. Data collection will be conducted before and 3 months after the intervention using a demographic data checklist, the Adult Health Literacy Assessment Questionnaire, the Edmonton Symptom Scale, and a patient readmission survey by contacting the caregiver. In order to facilitate data collection in the post-intervention phase through the Pressline, questionnaires will be designed and provided to participants for completion Reduction in Edmonton symptom score. Timepoint: Before and 3 months after the start of the intervention. Method of measurement: Edmonton Symptom Assessment Scale. Reduction in the number of readmissions. Timepoint: Before and 3 months after the start of the intervention. Method of measurement: Readmission of patients after discharge within 1 month of follow-up. Arak University of Medical Sciences Approved 2025-02-23 Ethics committee of Arak University of Medical Sciences Arak University of Medical Sciences, Basij St, Sardasht, Arak Arak Markazi Iran (Islamic Republic of)